REGISTRATION

Unless you are a current student, you must be a NYS licensed professional to take this workshop. Please have your license number ready.

* Select Workshop:

Cost of Registration:
$300.00

Early Registration Discount

Register today and pay only $270Receive a $30 discount if you register by September 7th. Deposits are non-refundable and non-transferable. If FLSM cancels a workshop, participants will be refunded all monies paid, including deposits.

Coupon Code

* First Name

* Last Name

* Phone number

* Email address

* Street Address

* City

* State

* Zip Code

Are you a FLSM Alumnus?YesNo

Are you a current student?YesNo

Profession

* State of Professional License

* License Number

Credit Card Information:

* Name on Card

* Credit or Debit Card

NOTE: Please click the submit button ONLY once. Clicking more than once can result in multiple charges to your credit card.